AMS Health Care Mortgage

Financing Tomorrow's Hospitals Today

  • About AMS
    • From the President
  • Financing Programs
    • FHA Health Care Programs
  • Case Studies
    • Capital Health System
    • New Orleans East Hospital
    • St. Francis Hospital
    • The Unity Hospital of Rochester
    • Mennonite General Hospital
    • Union Health System
  • AMS Team
    • Joseph A. Spiak, President
    • Bruce Deskin, Director
    • Joyce Santos, Analyst
    • Team Experience
  • News & Updates
  • Contact Us

FHA Health Care Programs

Introduction

  • Since its inception in 1968 there have been 418 commitments issued totaling $18.5 billion
  • OHF issues an average of 10 commitments per year
  • Average loan size is approximately $68.5 million per project
  • New regulations implementing the 242/223(f) program became effective March 2013 giving statutory authority to refinance existing debt of hospitals and finance hospital acquisitions

Current Portfolio

  • 85 hospitals presently in portfolio with 110 active loans
  • $8.6 billion in unpaid principal balances
  • Facilities located in 31 states and Puerto Rico

Insurance Commitment Types

  • Section 242 – For Hospital construction, renovation and refinancing
  • Section 241 – For supplemental Hospital loans after a 242 is completed
  • Section 223(a)7 – For refinancing Hospital debt already financed under Section 242 and 241
  • Section 223(f) – For refinancing capital debt or hospital acquisitions for hospitals not yet in the FHA Program and where there is no construction component

Attractive Features of the Programs

  • No maximum loan amount
  • Non-recourse to the borrower
  • Loan-to-value up to 90%
  • For Profit, Not-for-Profit and public/government hospitals
  • Fixed rate debt with a loan term up to 25 years
  • No Debt Service Reserve Fund when utilizing GNMA taxable securities
  • No Negative Arbitrage during construction when utilizing GNMA taxable securities
  • Attractive interest rates at the AA/AAA level

Processing Time and Requirements

  • Selection of Mortgage Banker required to act on hospitals behalf
  • Pre-Application Submission – Completeness Review – 10 days
  • Formal Application developed including Financial Feasibility Study when required – 90 days
  • Formal Application Submission – Completeness Review – 10 days
  • Formal Application Review – 120 days (223(f) 90 days)

AMS Health Care Mortgage Corporation

  • More than 75 years collective experience in the industry
  • Responsible for the largest FHA loans approved to date
  • Skilled and experienced project team leader

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  • FHA Hospital Financing
  • FHA/GNMA Insured Mortgage Loan Closed For Union Health in Terre Haute, Indiana
  • Low Cost Capital: New Money and Refinancing in an Age of Federal Reserve Intervention

More News & Updates

AMS is the most active FHA lender in the new project acute care industry.

  • AMS FHA 242 Rankings
  • Programs and Term Sheets

AMS Health Care Mortgage Corporation
10752 Deerwood Park Blvd
Suite 100
Jacksonville, Florida. 33256

(D) 904-394-2997

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